Willstone Dialysis, LLC

NPI #1871342501 in Lithia, Florida

Provider Information

NPI Number
1871342501
Entity Type
Organization
Organization Name
Willstone Dialysis, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
DAVITA INC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
May 15, 2024
Last Updated
Oct 23, 2024

Practice Location

Address
16625 FISHHAWK BLVD
City
Lithia
State
Florida
ZIP Code
33547
Phone
(941) 392-2995

Authorized Official

Name
SAMUEL WEY
Title
VP, LICENSURE AND CERTIFICATION
Phone
(615) 341-6691

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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